Kilgore Vision Center

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

KILGORE VISION CENTER

Practice address

105 Sawgrass PT
Harrison, AR 72601-3072

Phone

(870) 741-1910

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Tina Cikanek

Title

Practice Administrator

Phone

(870) 741-1910

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Alex Kilgore, MD

  • Ophthalmology Physician
  • Little Rock, AR
  • NPI 1285263210
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1124170360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 444",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540444",
            "telephone_number": "870-424-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAWGRASS PT",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013072",
            "telephone_number": "870-741-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILGORE VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "CIKANEK",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "870-741-1910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "1124170360",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Kelly, LCSW
• Reagan Brittany Kenney
• Kidworx Academy
• Kidworx Academy
• Christina Lee Kifer, PT
• Mary L Killian, MCD, CCC-SLP
• Leslie Brooke Kimes, CNP
• Jolene Elizabeth King
• Thomas King, MHPP
• Kirby J. Robinson, DDS of Arkansas, PLLC

• Optometrist in Harrison, AR
• Providers in Harrison, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.